Organization
OPEN DOOR HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BECKIUS (CFO)
(507) 344-5507
Entity
Organization
Contact information
Practice address
1617 WESTON CT STE 200, SHAKOPEE, MN 55379-4717
(952) 492-6342
(652) 492-2631
Mailing address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MN
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
04/08/2026
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